MEDICARE: MTN. VIEW FAMILY PRACTICE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD18120	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD18120	OTHER	OR	MD LIC

General Provider Information

NPI Number	:	1861520991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MTN. VIEW FAMILY PRACTICE, PC

Provider Business Mailing Address
First Line	:	24900 SE STARK ST
Second Line	:	SUITE 205
City	:	GRESHAM
State	:	OR
Zip	:	97030-3355
Country	:	US
Telephone Number	:	503-665-1010
Fax Number	:	503-665-1023

Provider Business Practice Location Address
First Line	:	24900 SE STARK ST
Second Line	:	SUITE 205
City	:	GRESHAM
State	:	OR
Zip	:	97030-3355
Country	:	US
Telephone Number	:	503-665-1010
Fax Number	:	503-665-1023

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL V PODETT
Credential	:	MD
Telephone Number	:	503-665-1010

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	03/25/2014

Similar Medicare Providers

1245222512 — MANOHAR MULKI PUNJA MD
Practice Location Address:

24900 SE STARK ST , SUITE 103
GRESHAM, OR
97030-3355

Practice Phone: 503-665-4278
Practice Fax: 503-665-7766

1255308631 — SAKINEH ILIAIFAR X MD
Practice Location Address:

24900 SE STARK ST , SUITE #110
GRESHAM, OR
97030-3355

Practice Phone: 503-465-6850
Practice Fax:

1861553232 — KAREN MEES OT
Practice Location Address:

24900 SE STARK ST , SUITE 106
GRESHAM, OR
97030-3355

Practice Phone: 503-413-3879
Practice Fax: 503-413-4379

1205997681 — CRAIG PLUMMER PT
Practice Location Address:

24900 SE STARK ST , SUITE 106
GRESHAM, OR
97030-3355

Practice Phone: 503-413-3879
Practice Fax: 503-413-4379

1710110127 — ROBERT L KALEZ MD PC
Practice Location Address:

24900 SE STARK ST , 208
GRESHAM, OR
97030-3355

Practice Phone: 503-666-3030
Practice Fax: 503-666-3434

1942552062 — RICHARD S POLIN PC
Practice Location Address:

24900 SE STARK ST , SUITE 208
GRESHAM, OR
97030-3355

Practice Phone: 503-666-8139
Practice Fax: 503-666-3434

Directions to “MTN. VIEW FAMILY PRACTICE, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.